Martínez-Martel Ignacio, Negrini-Ferrari Sylmara Esther, Pol Olga
Grup de Neurofarmacologia Molecular, Institut de Recerca Sant Pau (IR SANT PAU), Sant Quintí 77-79, 08041 Barcelona, Spain.
Grup de Neurofarmacologia Molecular, Institut de Neurociències, Universitat Autònoma de Barcelona, 08193 Barcelona, Spain.
Antioxidants (Basel). 2025 Aug 16;14(8):1004. doi: 10.3390/antiox14081004.
Cisplatin (CIS)-induced peripheral neuropathy and associated comorbidities have a detrimental effect on the lives of cancer patients. Currently, there are no effective therapies to alleviate these symptoms. Duloxetine (DULO) is a recommended treatment, but it is linked with important side effects, thus making it essential to explore novel approaches. We examined the impact of a prophylactic treatment with a low dose of DULO combined with hydrogen-rich water (HRW) on CIS-injected C57BL/6 male and female mice as a possible therapy for allodynia, muscle and body weight deficits, and emotive syndromes accompanying this type of chemotherapy. The prophylactic treatment with DULO and HRW prevented mechanical allodynia caused by CIS in both sexes and had greater effects than either treatment given individually. The combined treatment also prevented cold allodynia in male mice but only reduced it in females. Moreover, the coadministration of DULO with HRW avoided muscular deficits in both sexes. Furthermore, the body weight reduction induced by CIS in both sexes was not entirely mitigated by the combined therapy. However, all treatments avoided the anxiety- and depressive-like behaviors elicited by CIS. The antiallodynic actions and prevention of muscular deficits produced by the combined treatment might be explained by the inhibition of oxidative stress, inflammatory responses, and plasticity alterations provoked by CIS in the dorsal root ganglia of these subjects. This study proposes, for the first time, the cotreatment of DULO with HRW as an effective therapy for CIS-induced peripheral neuropathy and reveals the influence of sex on these actions.
顺铂(CIS)诱导的周围神经病变及相关合并症对癌症患者的生活产生不利影响。目前,尚无有效的治疗方法来缓解这些症状。度洛西汀(DULO)是一种推荐的治疗药物,但它伴有重要的副作用,因此探索新的治疗方法至关重要。我们研究了低剂量DULO与富氢水(HRW)联合预防性治疗对注射CIS的C57BL/6雄性和雌性小鼠的影响,以此作为治疗这种化疗伴随的异常性疼痛、肌肉和体重不足以及情绪综合征的一种可能疗法。DULO和HRW联合预防性治疗可预防两性由CIS引起的机械性异常性疼痛,且效果优于单独使用任何一种治疗。联合治疗还可预防雄性小鼠的冷异常性疼痛,但仅能减轻雌性小鼠的冷异常性疼痛。此外,DULO与HRW联合给药可避免两性出现肌肉不足。此外,联合治疗并未完全缓解CIS诱导的两性体重减轻。然而,所有治疗均避免了CIS引发的焦虑样和抑郁样行为。联合治疗产生的抗异常性疼痛作用及对肌肉不足的预防作用,可能是由于抑制了这些实验对象背根神经节中由CIS引发的氧化应激、炎症反应和可塑性改变。本研究首次提出DULO与HRW联合治疗作为CIS诱导的周围神经病变的有效疗法,并揭示了性别对这些作用的影响。